Case of COVID-19 infection and polycythaemia presenting with massive acute pulmonary embolism.

Szczegóły
Abstrakt

Tytuł:: Case of COVID-19 infection and polycythaemia presenting with massive acute pulmonary embolism.
Autorzy:: Nawazani A; Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates .
Ghanaim M; Emergency Department, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Tariq S; Internal Medicine, Dubai Hospital, Dubai, United Arab Emirates.
Źródło:: BMJ case reports [BMJ Case Rep] 2020 Sep 18; Vol. 13 (9). Date of Electronic Publication: 2020 Sep 18.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Coronavirus Infections/*complications
Pneumonia, Viral/*complications
Polycythemia Vera/*complications
Pulmonary Embolism/*etiology
Betacoronavirus ; COVID-19 ; Computed Tomography Angiography ; Coronavirus Infections/blood ; Diabetes Mellitus, Type 2/complications ; Echocardiography ; Fibrinolytic Agents/therapeutic use ; Heparin/therapeutic use ; Humans ; Hypertension/complications ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/blood ; Polycythemia Vera/blood ; Pulmonary Artery/diagnostic imaging ; Pulmonary Embolism/diagnostic imaging ; Pulmonary Embolism/drug therapy ; SARS-CoV-2 ; Thrombolytic Therapy ; Tissue Plasminogen Activator/therapeutic use ; Tomography, X-Ray Computed ; Ventricular Dysfunction, Right/diagnostic imaging ; Ventricular Dysfunction, Right/etiology
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Contributed Indexing:: Keywords: haematology (including blood transfusion); infections; pulmonary embolism
Substance Nomenclature:: 0 (Fibrinolytic Agents)
9005-49-6 (Heparin)
EC 3.4.21.68 (Tissue Plasminogen Activator)
Entry Date(s):: Date Created: 20200919 Date Completed: 20200925 Latest Revision: 20240329
Update Code:: 20240329
PubMed Central ID:: PMC7511615
DOI:: 10.1136/bcr-2020-237390
PMID:: 32948531
: Czasopismo naukowe

We are reporting a middle-aged male patient with polycythaemia vera comorbidity. The patient was exhibiting symptoms including fever, cough and shortness of breath and was found to have acute pulmonary embolism. He was diagnosed with SARS-CoV-2. This case suggests that a high index of suspicion should be taken into consideration for thromboembolic events, when treating patients with COVID-19 with breathing difficulty and low oxygen saturation levels, especially in those who have underlying predisposing conditions for coagulopathy.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)

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